| TN0664 ACUTE RESPIRATORY FAILURE WITHOUT VENTILLATOR | ||||||
|---|---|---|---|---|---|---|
| PREAUTH | CLAIMS | |||||
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % BREAKUP AMOUNT - CLAIMS | POINTS AWARDED | SPECIAL MENTION |
| BREATHLESSNESS | CLINICAL PHOTO, ABG, CXR | TOTAL BED DAYS | 20 | |||
| BEDS IN ICU | ||||||
| DAYS UNDER VENTILATOR SUPPORT | ||||||
| INVESTIGATIONS | GENERAL WORK UP | 30 | ||||
| ABG +CXR | mandatory | |||||
| PFT | ||||||
| R/O OTHER CAUSE | ||||||
| ECG +/_ ECHO | mandatory | |||||
| TREATMENT | NEBULISATION/ ANTIBIOTICS AND SUPPORTIVE MEDICINES | 50 | mandatory | |||
| CHEST PHYSIOTHERAPY | mandatory | |||||
| TREATMENT OF CAUSE | ||||||